CONTOH CHECK LIST

Name of Tour       :
Day/date               :

Description	On Board	Tour	Rest	Total	Schedule

Reported by :

Name of Tour       :
Day/date               :

STARTING POINT			FINISHING POINT			DISTANCE	DURATION
Place	KM	Time	Place	KM	Time	KM	Hours

Driver                   : Coorperative/Non-Coorperative

Reported by           :

Name                   :.................................................... Place..................................

Type                     : ...............................................................................................

Specification        : ..............................................................................................

                               Day / Night Attraction

Accesbility of Transportation   : ...........................................................................

                        Duration          : ...........................................................................

                        Cost                 : ...........................................................................

Activity to see       : ...............................................................................................

            To do        : ...............................................................................................

Facilities     : Local Guide        : available / none

                     Information Serv : available / none

                     Equipment          : available / none

                     Clinic                  : available / none

                     Liiter Basket       : available / none

                     Restaurant          : available / none

                     Shop                   : available / none

Admission Fee                         : Rp .....................................................................

Parking Fee                              : Rp .....................................................................

Parking Area Condition            : OS / GD / MO / PR

Organization         : Management       : ......................................................

                               Personal              : .................................................person (s)

Historical Background/Legend : ...........................................................................

................................................................................................................................

................................................................................................................................

................................................................................................................................

................................................................................................................................

Reported by : ...........................................................

Name                    :.................................................... Place..................................

Type                     : ...............................................................................................

Specification        : ..............................................................................................

                               Day / Night Attraction

Accesbility of Transportation   : ...........................................................................

                        Duration          : ...........................................................................

                        Cost                 : ...........................................................................

Activity to see       : ...............................................................................................

            To do        : ...............................................................................................

Facilities     : Local Guide        : available / none

                     Information Serv : available / none

                     Equipment          : available / none

                     Clinic                  : available / none

                     Liiter Basket       : available / none

                     Restaurant          : available / none

                     Shop                   : available / none

Admission Fee                         : Rp .....................................................................

Parking Fee                              : Rp .....................................................................

Parking Area Condition            : OS / GD / MO / PR

Organization         : Management       : ......................................................

                               Personal              : .................................................person (s)

Historical Background/Legend : ...........................................................................

................................................................................................................................

................................................................................................................................

................................................................................................................................

................................................................................................................................

Reported by : ...........................................................

Name                   :.................................................... Place..................................

Type                     : ...............................................................................................

Specification        : ..............................................................................................

                               Day / Night Attraction

Accesbility of Transportation   : ...........................................................................

                        Duration          : ...........................................................................

                        Cost                 : ...........................................................................

Activity to see       : ...............................................................................................

            To do        : ...............................................................................................

Facilities     : Local Guide        : available / none

                     Information Serv : available / none

                     Equipment          : available / none

                     Clinic                  : available / none

                     Liiter Basket       : available / none

                     Restaurant          : available / none

                     Shop                   : available / none

Admission Fee                         : Rp .....................................................................

Parking Fee                              : Rp .....................................................................

Parking Area Condition            : OS / GD / MO / PR

Organization         : Management       : ......................................................

                               Personal              : .................................................person (s)

Historical Background/Legend : ...........................................................................

................................................................................................................................

................................................................................................................................

................................................................................................................................

................................................................................................................................

Reported by : ...........................................................

Name of The Group        : TEAM .......

1. ...................................................          4. ....................................................
2. ...................................................          5. ....................................................
3. ...................................................          6. ....................................................

Name of Tour                 :

Location/Place                :

Date of Observation        :

GENERAL INFORMATION

1. Geographical            a. North Side         : ......................................................

                                      b. West Side          : ......................................................

                                      c. South Side         : ......................................................

                                      d.  East Side          : ......................................................

1. Developed/Managed by                         : ......................................................
2. Large of Land/Area (ha)                        : ......................................................
3. Accessbility

1. From.....................................by....................................duration±...............(minute/hours), length±..............................(km)
2. From.....................................by....................................duration±...............(minute/hours), length±..............................(km)
3. From.....................................by....................................duration±...............(minute/hours), length±..............................(km)

1. What to See              : a. .................................................................................

                                        b. .................................................................................

                                        c. ..................................................................................

1. What to Do               : a. .................................................................................

                                        b. .................................................................................

                                        c. ..................................................................................

1. What to Buy             : a...................................................................................

                                        b. .................................................................................

                                        c. ..................................................................................

1. Facilities         Parking Area                                     Souvenir Shop

                            

                             Restaurant/Mini Bar/Cafe                  Information Centre

                             Post Office                                         Accomodation

                             Bank/ATM                                        Toilet

1. Attraction       Natural                 Cultural                Man Made
2. Entrance Fee   : ...............................................................................................
3. History           : ...............................................................................................
   ..........................................................................................................................
4. Other Information     : .....................................................................................

Reported By          : ...............................................................................................

Class : ....................................................................................................................

Team : ....................................................................................................................

Name of Tour       : ...............................................................................................

Name of Group     : ...............................................................................................

Total Pax(s)          : ...............................................................................................

Date of Departure : ...............................................................................................

Date of Arrival     : ...............................................................................................

Duration               : ...............................................................................................

FACILITIES COMPONENT	Out-Standing	Good	Poor
Hotel : Rooms
Meals
Service
...........................................
Enroute : Meals
Activities
........................................
Performance
Transportation : Tour
Public
Tour : Itinerary
Duration
Handling
Guide : Tour Guide : Conducting
Language
Local Guide : Conducting
Language

Tour Price Comment                : ...........................................................................

General Comment of Tour        : ...........................................................................

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                                                Passenger’s Name : ............................................